Reimbursement Accountant

Posted 15 Days Ago
Be an Early Applicant
Hiring Remotely in Michigan, USA
Remote
Mid level
Healthtech • Software
The Role
Prepare and analyze third-party cost reports and reimbursement data, verify payer and government rate calculations and settlements, support audits and appeals, provide reimbursement rate information, and assist management with financial analysis, business plans, and special projects to inform healthcare financial decision-making.
Summary Generated by Built In
Company Description

More Than Just Care, It’s Community  

Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.  

If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.

Invested in You  

  • Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. 

  • Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.  

  • Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. 

  • Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings  

Job Description

A Day in the Life 

  • This position requires an accounting background in either general ledger, audit, or tax with a couple of years of experience. We will train you on anything you need to know that is healthcare specific. This position is not a routine accounting job, but a career where there is always something else to learn. If you like helping with important decisions and always facing new challenges, this career is for you.   

  • Demonstrates excellent project management skills. Integral to health system administrators and managers decision making related to financial information and analysis. Supports management in development of business plans and other special projects.

  • Completes accurate, compliant, and well documented third party cost reports. Analyzes financial and statistical data used in the reimbursement reports to determine accuracy, consistency from year to year, and effects upon institution’s reimbursement or final settlements.

  • Verifies and analyzes rate calculations and final settlements submitted by third-party payers and governmental agencies for accuracy. 

  • Maintain up-to-date knowledge of principles and technical methods of reimbursement accounting and financial analysis of healthcare institutions and health systems.

  • Assist with third-party cost report audits and provide support in response to inquiries made by third-party auditors, external financial audits and internal audits as needed. Reconciles revenue between hospital financial reports and third-party payor/governmental agency reports.

  • Prepares interim cost reports for independent audit review, the annual budget internal contractual estimation, and the case mix system.

  • Provides up-to-date reimbursement rate information to the Accounting Department to enhance the monthly contractual allowance calculation. Periodically reviews the monthly contractual allowance calculation.

  • Participates in and suggests areas where formal appeals to third-party and governmental agencies are warranted. Prepares formal appeal work papers.

  • Assists in the preparation of special reimbursement and cost study analyses and in the accumulation of certain statistical data.

Qualifications

What’s Required  

  • Bachelor's Degree in Accounting or Finance, with CPA, or Master’s Degree in Business Administration preferred.

  • Two to four years' experience in finance, preferably health care related.

  • Knowledge of federal and state laws and regulations affecting institutional healthcare providers.

  • Strong knowledge of principles and technical methods of accounting and financial analysis of healthcare institutions and health systems.

  • Ability to interpret statutes and regulations, CMS guidelines, GAAP, GAAS, professional audit guides and reimbursement principles.

  • Experience with computer applications, including Microsoft Office products, data extraction software, etc.

Additional Information

Are you Munson Material? Apply today! 

Fully remote!  Must have accounting and reimbursement experience. 

Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Skills Required

  • Bachelor's degree in Accounting or Finance
  • CPA (Certified Public Accountant)
  • Master's Degree in Business Administration
  • Two to four years' experience in finance (preferably healthcare)
  • Knowledge of federal and state laws and regulations affecting institutional healthcare providers
  • Strong knowledge of reimbursement accounting principles and financial analysis for healthcare institutions
  • Ability to interpret statutes, CMS guidelines, GAAP, GAAS, and professional audit guides
  • Experience with Microsoft Office products and data extraction software
  • Accounting and reimbursement experience (cost reports, rate calculations, settlements)
  • Project management skills and ability to support special projects and audits
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The Company
HQ: Traverse City, MI
4,529 Employees
Year Founded: 1915

What We Do

Excellence. Positivity. Teamness. Creativity. Exceptional Experiences. These are the values that define how we show up for our patients, our communities, and each other. Being Munson Material isn’t about fitting into a mold. It’s about what drives us each and every day as we care for others and one another. Whether you’re scrubbing in as an RN or serving from behind the scenes, if you aspire to be part of something different, while making a difference, there's a place for you here. Ready to find your fit? Join our talented team today.

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